MoonDragon's Pregnancy Information
POSITIONS & OVERVIEW
For "Informational Use Only".
For more detailed information, contact your health care provider
about options that may be available for your specific situation.
At birth, most babies are born head first with face down. In a breech presentation, the fetal buttocks or feet lie nearest the birth canal and are the first part to emerge. Breech presentation occurs in 3 to 4 percent of all births. Types of breech presentations include:
Frank breech where the thighs are flexed on the abdomen and both legs are extended at the knee so that the feet are near the head.
Complete breech where the thighs are flexed on the abdomen and both legs are flexed at the knee.
Footling breech where one or both legs are extended below the level of the buttocks.
Knee breech where one or both knees are extended below the level of the buttocks.
FREQUENT SIGNS & SYMPTOMS
There are no visible signs. The diagnosis can be determined by abdominal palpation or vaginal examination and confirmed by ultrasound. Fetal heart sounds are heard high on the mother's abdomen, usually around the belly button region.
Before 36 weeks, the fetus may move about from one position to the other. In the later weeks of pregnancy, these changes are more difficult. Usually the fetus spontaneously assumes the head down position, but in some instances the breech position occurs.
Premature labor and delivery. Multiple fetuses. Uterine abnormalities. Fetal congenital malformation. Pelvic tumor (fibroids).
None known to prevent the original breech position.
For some, a slanted board exercise where the mother lies with feet raised higher than her head for several minutes a few times a day. This exercise may be used in the latter part of pregnancy to attempt to naturally entice the fetus to change position to head down. This will only work if the fetus has not engaged into the pelvis.
For some others, after the breech position is diagnosed, a technique called external cephalic version is performed, which attempts to rotate the fetus to the proper position.
The decision about delivery will be made on an individual basis. For some, a cesarean birth is recommended for breech babies, while in certain conditions, a vaginal delivery may be recommended. Discuss it fully with your health care provider or midwife.
In most cases, you and your baby will suffer no complications because of the breech presentation.
Birth injury. Compression of the umbilical cord causing lack of oxygen to the fetus. Prolapse of the umbilical cord. Usual treatment for this would be a cesarean delivery.
CONVENTIONAL MEDICAL MANAGEMENT
Once the diagnosis of a breech presentation is made, be sure you are informed and understand the options and risks (both to you and to the fetus) involved for each type of delivery (cesarean or vaginal). You may need to shop around to find a midwife or health care provider that will offer the support and method of delivery you may be interested in having. Many conventional medical services only dictate a cesarean delivery for breech. However, more practitioners are getting trained to handle vaginal breech deliveries and are including this option in their maternity care. Both have their attributes and drawbacks. Whomever you decide upon (midwife or other health care provider), be sure they have experience in vaginal deliveries of breech presentations and are willing to work with you and your birth plans.
- Showering is fine; delay tub baths for 2 to 3 weeks.
- Some degree of postpartum depression (crying jags and feelings of inadequacy) may occur which is normal after birth. However, some research has shown the quality of the birth experience and immediate bonding between mother and baby seems to play a significant factor in the level of "postpartum blues" that the woman may experience.
- Wear an external pad for the vaginal bleeding (lochia discharge) that will occur for several weeks. Your first menstrual period may return in 6 to 8 weeks, but may be delayed for several months if the mother is fully breastfeeding her infant.
Prescription medication may be given for 2 to 7 days following the procedure. You may use non-prescription medication, such as acetaminophen, for minor pain.
ACTIVITY RECOMMENDATIONS & RESTRICTIONS
You may resume sexual relations after 2 weeks (although for some, 4 to 6 weeks may be recommended).
Return to normal activity as soon as your health and well being permit. This will occur more quickly following a vaginal delivery than it will with a cesarean delivery.
DIET & NUTRITION
No special diet is usually necessary. However, if you are breastfeeding, continue with the same calorie and nutritional intake that you were eating during your pregnancy. Be sure to drink plenty of fluids to maintain your milk supply. See our Nutrition Information for obtaining and maintaining a healthy diet.
NOTIFY YOUR MIDWIFE OR HEALTH CARE PROVIDER
If any of the following occurs prior to birth:
Any of the following occurs following the birth:
- New symptoms develop.
- Pain, swelling, redness, drainage or bleeding increases in the surgical area (cesarean or large episiotomy prior to forceps delivery in a medical facility).
- You develop signs of infection: headache, muscle aches, dizziness, or a general ill feeling and fever.
- Bleeding soaks more than one pad in an hour.
- The urge to urinate frequently persists longer than one month.
- Vaginal discharge persists beyond one month.
MyBreechBirth: Home Birth of a Footling Breech Baby
Breech Birth: A Planned Homebirth of a Footling Breech with Midwife
Sabastian's Breech Homebirth Story (with wonderful photos)
The Website: "Heads Up! All About Breech Babies"
Vaginal Breech Pictorial - Hospital without Pain Medication, Episiotomy & Forceps
Breech Presentation & Acupuncture
Heads Up!: All About Breech Babies
MomCare: Breech Turning Techniques
BabyCenter.com: Breech Birth
GentleBirth.org: Midwife Archives - Prenatal Breech Issues
BirthSpirit: Breech Birth Woman-Wise by Maggie Banks
MoonDragon's Pregnancy Information: Breech Presentation Information
MoonDragon's Pregnancy Information: Breech Turning Ideas
MoonDragon's Pregnancy Information: Performing External Cephalic Version
MoonDragon's Pregnancy Information: Breech Labor - What to Expect
MoonDragon's Pregnancy Information: Breech Labor - Esstablished Breech
MoonDragon's Pregnancy Information: Breech Labor - How the Attendant May Assist
MoonDragon's Pregnancy Information: The Breech Delivery at Home
MoonDragon's Pregnancy Information: Vaginal Breech Pictorial - Hospital with Episiotomy & Forceps
MoonDragon's Birthing Guidelines - The Unexpected Breech
MoonDragon's Pregnancy Information: Pregnancy Information & Survival Tips
MoonDragon's Pregnancy Index
MoonDragon's Womens Pregnancy Health Information Index
MoonDragon's Pediatric Information Index
MoonDragon's Parenting Information Index
MoonDragon's Nutrition Information Index
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Healing Baths For Colds
Using Essential Oils
AROMATHERAPY: HERBAL & CARRIER OILS DESCRIPTIONS & USES
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HELPFUL RELATED MOONDRAGON NUTRITION BASICS LINKS
MoonDragon's Nutrition Basics Index MoonDragon's Nutrition Basics: Amino Acids Index MoonDragon's Nutrition Basics: Antioxidants Index MoonDragon's Nutrition Basics: Enzymes Information MoonDragon's Nutrition Basics: Herbs Index MoonDragon's Nutrition Basics: Homeopathics Index MoonDragon's Nutrition Basics: Hydrosols Index MoonDragon's Nutrition Basics: Minerals Index MoonDragon's Nutrition Basics: Mineral Introduction MoonDragon's Nutrition Basics: Dietary & Cosmetic Supplements Index MoonDragon's Nutrition Basics: Dietary Supplements Introduction MoonDragon's Nutrition Basics: Specialty Supplements MoonDragon's Nutrition Basics: Vitamins Index MoonDragon's Nutrition Basics: Vitamins Introduction
NUTRITION BASICS ARTICLES
MoonDragon's Nutrition Basics: 4 Basic Nutrients MoonDragon's Nutrition Basics: Avoid Foods That Contain Additives & Artificial Ingredients MoonDragon's Nutrition Basics: Is Aspartame A Safe Sugar Substitute? MoonDragon's Nutrition Basics: Guidelines For Selecting & Preparing Foods MoonDragon's Nutrition Basics: Foods That Destroy MoonDragon's Nutrition Basics: Foods That Heal MoonDragon's Nutrition Basics: The Micronutrients: Vitamins & Minerals MoonDragon's Nutrition Basics: Avoid Overcooking Your Foods MoonDragon's Nutrition Basics: Phytochemicals MoonDragon's Nutrition Basics: Increase Your Consumption of Raw Produce MoonDragon's Nutrition Basics: Limit Your Use of Salt MoonDragon's Nutrition Basics: Use Proper Cooking Utensils MoonDragon's Nutrition Basics: Choosing The Best Water & Types of Water
RELATED MOONDRAGON HEALTH LINKS & INFORMATION
MoonDragon's Nutrition Information Index MoonDragon's Nutritional Therapy Index MoonDragon's Nutritional Analysis Index MoonDragon's Nutritional Diet Index MoonDragon's Nutritional Recipe Index MoonDragon's Nutrition Therapy: Preparing Produce for Juicing MoonDragon's Nutrition Information: Food Additives Index MoonDragon's Nutrition Information: Food Safety Links MoonDragon's Aromatherapy Index MoonDragon's Aromatherapy Articles MoonDragon's Aromatherapy For Back Pain MoonDragon's Aromatherapy For Labor & Birth MoonDragon's Aromatherapy Blending Chart MoonDragon's Aromatherapy Essential Oil Details MoonDragon's Aromatherapy Links MoonDragon's Aromatherapy For Miscarriage MoonDragon's Aromatherapy For Post Partum MoonDragon's Aromatherapy For Childbearing MoonDragon's Aromatherapy For Problems in Pregnancy & Birthing MoonDragon's Aromatherapy Chart of Essential Oils #1 MoonDragon's Aromatherapy Chart of Essential Oils #2 MoonDragon's Aromatherapy Tips MoonDragon's Aromatherapy Uses MoonDragon's Alternative Health Index MoonDragon's Alternative Health Information Overview MoonDragon's Alternative Health Therapy Index MoonDragon's Alternative Health: Touch & Movement Therapies Index MoonDragon's Alternative Health Therapy: Touch & Movement: Aromatherapy MoonDragon's Alternative Therapy: Touch & Movement - Massage Therapy MoonDragon's Alternative Health: Therapeutic Massage MoonDragon's Holistic Health Links Page 1 MoonDragon's Holistic Health Links Page 2 MoonDragon's Health & Wellness: Nutrition Basics Index MoonDragon's Health & Wellness: Therapy Index MoonDragon's Health & Wellness: Massage Therapy MoonDragon's Health & Wellness: Hydrotherapy MoonDragon's Health & Wellness: Pain Control Therapy MoonDragon's Health & Wellness: Relaxation Therapy MoonDragon's Health & Wellness: Steam Inhalation Therapy MoonDragon's Health & Wellness: Therapy - Herbal Oils Index
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